24 answers

My 11 Wk Old Son Has a Bad Cough and Congestion

My 11 week old son is sick yet again. This time he has a really bad dry/wet cough (sort of like the crupe, but different). He started with a dry cough and now has bad congestion. I was on the brink of taking him to the emergency room, but his coughing and choking fit finally calmed down. I want to try to keep him at home if at all possible. I think he caught this cold from being in the hospital. We've been keeping him upright during naps and have been trying to keep him as comfortable as possible, but we still wish there was more we could do. This morning when he woke up, he was trying to cough up everything in his chest. He was having trouble breathing because he couldn't stop coughing. My bf and I did our best to suction out his mouth and nose and cuff our hand and firmly pat his back. We've had the humidifier on for the past 2 days, but it seems to be getting worse. (Maybe it has to get worse before it gets better, but I don't know). I'm just scared he can't breathe and it's freaking me out. I'm trying to keep calm for him, but I'm still really concerned. (First mom syndrome)

Does anyone have any ideas on how we can help him to breathe better or make him more comfortable. He was sick with bad congestion and a mild cough at 6 weeks and was in the hospital after Christmas due to choking. He was diagnosed with acid reflux -- it's been causing him to choke -- and has made him extremely irritable. He's currently taking 2 ml of Mylanta and will be more than likely on Zantac by next week. We feel extremely helpless. He is struggling right now and we wish there was more that we could do. We've tried the hot steamy shower thing. Any other ideas?

What can I do next?

So What Happened?™

Thank you to everyone for their responses and support. We took my son to the pediatrician this afternoon because he was wheezing and breathing heavily. The nurse practitioner ordered a chest x-ray, but didn't see anything in the lungs. Our ped said his lungs were too small to see much since he was a preemie. To help with the wheezing, they gave him a breathing treatment...but he didn't like it at all. My son is a strong boy and he screamed and pulled his head from side to side the entire time. We have another appointment early tomorrow morning. They were supposed to deliver a nebulizer and call in 2 prescriptions (one for the breathing machine and the other for antibiotics) but after hours of waiting and tons of phone calls, the machine still isn't here. The doctor's office told us everything was taken care of, but neither the company with the breathing machine or the pharmacy received anything. I finally got ahold of an on-call doctor who is helping me take care of things. It's 10 pm and I've been told someone is on their way. I should know more tomorrow. Thank you to everyone.

1/9 - We took my son to the doctor on Monday as soon as the pediatrician's office opened. He first started coughing on Saturday. The PED did an x-ray and they couldn't see anything....they mentioned his lungs were small because he was a preemie. They gave us a nebulizer and albuterol sulfate. My mom suggested patting his back with a cupped hand under the shoulder blade. She mentioned that the respiratory therapists did that for my brothers when they were in the hospital. (3 of my brothers were on breathing treatments when they were young). The doctor also gave us amoxicillan in case its a bronch. infection. They didn't have the machine to test his oxygen on the Monday, but it was 95 on Tuesday (96 after the treatment) and was 95 again today. 94 means hospital time. We have to go see the nurse tomorrow to have his oxygen checked again. I really hope it goes up. He started wheezing on Monday and his chest was slighly sinking in. His congestion was mostly stuck in his nose...but now it's slowly coming out (when he was 6 wks old he had bad congestion and a mild cough -- once the congestion started coming out, he got better). Today she put him on steroids. It's prednisolone(a generic for prelone). I have to give him 3 ml for a few days to help things in case it's asthma. My son was in the hospital for choking a few days after Christmas. I woke up and he wasnt breathing...or at least I couldnt tell that he was. I sometimes have him sleep in my arms in bed when he won't go to bed. I usually put himn down after a few minutes, but I fell asleep. When I got up, he was awake and okay, so I put him down. Moments later, he was choking and had clear liquid in his mouth. I immediately picked him up and he was shaking like crazy. They did an EEG and it was normal, so I'm assuming he was just in shock because he couldn't breathe. I started patting his back and suctioning his mouth. I've had small choking episodes alot since he was born -- the doc said he had acid reflux and to keep him elevated after feedings and during sleep. We changed his formula to soy, but it didn't work, so we changed it to GentleEase and hes doing better. Less spit up. In the last episode, he wouldn't stop choking. He kept choking and then would cry and choke again. The clear fluids just kept coming. My legs starting jumping up and down on their own because I was so scared, so I called 911 because my bf had my car. We were in the ER for hours and were admitted later that day . They did an EKG, 12 hr sleep test, EEG, and upper gi. All was normal, except the upper GI gave up with some acid reflux. They said the reflux gets stuck in the back of the throat and causes babies to choke. After the hospital, my son did nothing but scream all day long. I knew something was wrong, so I took him in. They gave him mylanta and told us to try it for 2 weeks. His screaming stopped after the mylanta. They gave us a prescription for reglan and zantac, but I don't want to start him on anything unless he really needs it. He's too little. I am scared he's on too much stuff right now. When he was born, he had a tremor in his leg. it would just shake rapidly for a few seconds. As he's gotten bigger, it's almost completely stopped except for once a week or so. Since the breathing treatments, it seems like it happens all the time. The doc said it's nothing to be alarmed about and we'll monitor it after he's off the breathing treatment medicine. Since that appt. it's gotten worse. Today I mentioned it again and she said it's not an issue they're concerned about, but it's gotten worse. When I grab his leg, it doesn't automatically stop and in the last treatment, his arm started trembling. It's scary for me. I think everything will be okay, but I'm scared....he's so little. He was in special care for 2 weeks when he was born....sick at 6 weeks, hospital for choking, and now sick. He's been through alot and I feel so bad....but he's a strong guy and I know he'll pull through. Right now he's fussy. I don't know if it's the acid reflux again or whether his stomachs upset from the steriods.

Featured Answers

Dear M.,

You need to take him to the doctor and now. Ask all of these questions of the doctor. there are a lot of things that could be causing this - maybe allergies - Get busy and go. Now. C. N.

More Answers

Please take your son to a doctor as soon as possible and let him/her check the lungs. He's so young (11 weeks) and you want to make sure it's not pneumonia.

I have to agree that the doctor is in order - my little guy had a ear infection and a sinus infection and I never would have guessed that was the problem. With antibiotics, he cleared up in a day.

Also, though, our babysitter, who is from Mexico, taught us to make a tea that really helps him sleep when he's congested and coughing. We boil a chamomile tea bag with a stick of cinnamon, a couple cloves of garlic (smashed but still in one whole piece), and honey (or a little sugar if you're not doing honey yet). We strain it into a bottle, and either let it cool until it's drinkable or add a little ice. He just sucks it down and sleeps so much better. It also gets liquids in him. Not sure exactly why it works, but it does!

Good luck. Sick kids are no fun.

-D.

So glad you got help!

Try to rub some Vic Vaporub Baby on his feet and put socks after, it really helps with the cough.

when my daughter was a baby & had congestion, her dr. recommended i put salt in the humidifier/steam from hot shower...like beachwater, it will dry up the congestion. good luck :)

Hi I am a mother of three. You might want to take him to the doctors and have him tested for asthma.My son was very young when he was diagnosed. They can give him a nebulizer machine and albuterol for him to take in. If the hot showers and humidifier don't work then that might be your best bet. Vicks also has a medicine that is placed in the humidifier and has helped my kids in the past. Try that! Good luuk! Being a first time mom can be a little unnerving especially when your child is sick.

I wouldn't mess around, but would take him in to the doctor to check his lungs. I know the ER is something you want to avoid, but if you can take him to your regular pediatrician, atleast you'll have peace of mind that he doesn't have pneumonia. We went through this with our baby too and it's really scary, and a pain to keep taking him to the Dr., but it's the only way I could relax. It took forever for him to get better, I guess b/c babies aren't really good at coughing. I hope things get better for you soon.

Hi M.,
This is scary to watch, and unfortunately, I have to suggest taking him to the doctor. I try to avoid medication whenever possible but someone needs to listen to his lungs with a stethoscope and see how bad and where the congestion is. If it is in the lower respiratory track no amount of back clapping and steam can get it out, it can lead to pnumonia. My son had a similar cough (he is much older- 4 years old) and since then, every time he gets a cough it has the potential to fill his lungs. This is called "reactive airways" and I think it means the small sacs in his lungs get filled and his passageways aren't big enough to clear them out. This is something kids can outgrow as their lungs/air sac relationship gets stronger.

When he got it the first time, he was put on antibiotics, a nebulizer and (yikes!) prednisone. I really hated all the meds and I'm not sure if he needed the steroid, but he did need help to get past the infection. Now he uses a nebulizer (same meds as an asthma inhaler but in a mist that he can take in easier) when he gets that "coupy" cough that isn't croup before it gets too deep in his lungs.

My son, though not a preemie, was born the same time of year and caught a lot of colds when he was such a little baby. A fall birth means making through cold and flu season with an immature immune system, scary stuff indeed!

Overall, please take him to the doc. If your doctor is an overmedicating zealot you can address that later by finding someone willing to work with you in a less alarmist fashion but right now, it sounds like he needs help to breathe. You shouldn't doubt yourself and your "first mom syndrome". Mom's need to listen to their babies and trust their intuition. If you are scared, there might be good reason.

You're doing a great job, stay calm and have someone take a listen, maybe he doesn't need any meds and you'll feel better knowing that too. Good luck!

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